| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.47 | $2,147.66 | $9,195.00 | |
Aetna
| Professional | $836.47 | $836.47 | $1,032.19 | |
Anthem BCBS
| Professional | $326.36 | $343.54 | $343.54 | |
Cigna
| Professional | $360.74 | $360.74 | $360.74 |